NPI | 1538707294 |
---|---|
Doing Business As | LAKE OSWEGO MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | DARIOUSH AFSHAR Owner Doctor 503-334-0351 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2019-12-12 |
Last Update Date | 2022-05-11 |